Individual
MARY PAT PAMPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1910 CHEROKEE AVE SW, CULLMAN, AL 35055-5502
(256) 739-3500
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-045655
AL
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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